Therapeutic potential of analogues of amiloride: inhibition of the regulation of intracellular pH as a possible mechanism of tumour selective therapy
1993

Therapeutic Potential of Amiloride Analogues in Cancer Treatment

publication Evidence: moderate

Author Information

Author(s): R.P. Maidorn, E. J. Cragoe, Jr, I.F. Tannock

Primary Institution: Ontario Cancer Institute, University of Toronto

Hypothesis

Can amiloride analogues selectively kill tumor cells by inhibiting intracellular pH regulation?

Conclusion

Amiloride analogues EIPA, MIBA, and DMA enhance the toxicity of nigericin in acidic environments, suggesting potential for tumor-selective therapy.

Supporting Evidence

  • EIPA and MIBA were found to be 200-fold and 100-fold more potent than amiloride in inhibiting the Na+/H+ antiport.
  • Cell killing was significantly enhanced when EIPA or MIBA were used with nigericin at low pHe.
  • Preliminary experiments suggested that EIPA and nigericin could enhance the toxicity of radiation in vivo.

Takeaway

This study shows that certain drugs can help kill cancer cells by making their insides more acidic, especially when combined with another drug that also lowers pH.

Methodology

The study involved testing the effects of amiloride analogues on cell lines and spheroids, measuring their ability to inhibit the Na+/H+ antiport and induce cell death in acidic conditions.

Limitations

Preliminary in vivo experiments were limited due to the availability of amiloride analogues.

Statistical Information

Confidence Interval

95% confidence intervals

Statistical Significance

p<0.05

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication